US20150112365A1 - Methods and devices for forming a tissue fold - Google Patents

Methods and devices for forming a tissue fold Download PDF

Info

Publication number
US20150112365A1
US20150112365A1 US14/558,496 US201414558496A US2015112365A1 US 20150112365 A1 US20150112365 A1 US 20150112365A1 US 201414558496 A US201414558496 A US 201414558496A US 2015112365 A1 US2015112365 A1 US 2015112365A1
Authority
US
United States
Prior art keywords
tissue
mold
opening
fold
engaging element
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
US14/558,496
Other versions
US10433838B2 (en
Inventor
Scott Harshman
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Merit Medical Systems Inc
Original Assignee
Endogastric Solutions Inc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Endogastric Solutions Inc filed Critical Endogastric Solutions Inc
Priority to US14/558,496 priority Critical patent/US10433838B2/en
Publication of US20150112365A1 publication Critical patent/US20150112365A1/en
Assigned to CRG SERVICING LLC reassignment CRG SERVICING LLC SECURITY INTEREST (SEE DOCUMENT FOR DETAILS). Assignors: ENDOGASTRIC SOLUTIONS, INC.
Priority to US16/591,468 priority patent/US11484308B2/en
Application granted granted Critical
Publication of US10433838B2 publication Critical patent/US10433838B2/en
Assigned to ENDOGASTRIC SOLUTIONS, INC. reassignment ENDOGASTRIC SOLUTIONS, INC. ASSIGNMENT OF ASSIGNORS INTEREST (SEE DOCUMENT FOR DETAILS). Assignors: HARSHMAN, SCOTT
Assigned to ENDOGASTRIC SOLUTIONS, INC. reassignment ENDOGASTRIC SOLUTIONS, INC. CHANGE OF NAME (SEE DOCUMENT FOR DETAILS). Assignors: ENDO GASTRIC SOLUTIONS, INC.
Assigned to ENDO GASTRIC SOLUTIONS, INC. reassignment ENDO GASTRIC SOLUTIONS, INC. CHANGE OF NAME (SEE DOCUMENT FOR DETAILS). Assignors: ESOPHYX, INC.
Assigned to ENDOGASTRIC SOLUTIONS, INC. reassignment ENDOGASTRIC SOLUTIONS, INC. RELEASE BY SECURED PARTY (SEE DOCUMENT FOR DETAILS). Assignors: CRG SERVICING LLC
Assigned to ENDOGASTRIC SOLUTIONS, INC. reassignment ENDOGASTRIC SOLUTIONS, INC. RELEASE BY SECURED PARTY (SEE DOCUMENT FOR DETAILS). Assignors: CRG SERVICING LLC
Assigned to MERIT MEDICAL SYSTEMS, INC. reassignment MERIT MEDICAL SYSTEMS, INC. ASSIGNMENT OF ASSIGNORS INTEREST (SEE DOCUMENT FOR DETAILS). Assignors: ENDOGASTRIC SOLUTIONS, INC.
Assigned to WELLS FARGO BANK, NATIONAL ASSOCIATION, AS ADMINISTRATIVE AGENT reassignment WELLS FARGO BANK, NATIONAL ASSOCIATION, AS ADMINISTRATIVE AGENT SECURITY INTEREST (SEE DOCUMENT FOR DETAILS). Assignors: MERIT MEDICAL SYSTEMS, INC.
Active legal-status Critical Current
Adjusted expiration legal-status Critical

Links

Images

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/00234—Surgical instruments, devices or methods for minimally invasive surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/064—Surgical staples, i.e. penetrating the tissue
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/00234—Surgical instruments, devices or methods for minimally invasive surgery
    • A61B2017/00349—Needle-like instruments having hook or barb-like gripping means, e.g. for grasping suture or tissue
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00743—Type of operation; Specification of treatment sites
    • A61B2017/00818—Treatment of the gastro-intestinal system
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00743—Type of operation; Specification of treatment sites
    • A61B2017/00818—Treatment of the gastro-intestinal system
    • A61B2017/00827—Treatment of gastro-esophageal reflux
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0409—Instruments for applying suture anchors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0419—H-fasteners
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0464—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors for soft tissue
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B2017/0496—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials for tensioning sutures
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/064—Surgical staples, i.e. penetrating the tissue
    • A61B2017/0649—Coils or spirals
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A61B2017/07214—Stapler heads
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/08—Wound clamps or clips, i.e. not or only partly penetrating the tissue ; Devices for bringing together the edges of a wound
    • A61B2017/081—Tissue approximator

Definitions

  • the present invention is directed to methods and devices for approximating tissue and forming a tissue fold.
  • the present invention provides a device for forming a tissue fold, which has a mold and a tissue engaging element.
  • the mold has a recess and an opening leading to the recess. Tissue is drawn through the opening and into the mold using the tissue engaging element.
  • tissue As tissue is drawn into the opening, the tissue forms a fold, which is compressed by the opening. In this manner, the entire fold is drawn through the opening and squeezed and compressed by the opening. The tissue layers are then fastened together to maintain tissue fold.
  • the opening is positioned at a distal end of the recess so that tissue is drawn proximally through the opening and into the tissue mold.
  • the mold may also have two lateral openings, which communicate with the recess and with the opening at the distal end of the recess. The lateral edges of the tissue fold extend through the lateral openings as the tissue is drawn into the recess.
  • the tissue engaging element takes a curved path through the tissue mold and changes an angular orientation with respect to the mold by at least 45 degrees when passing through the mold.
  • the volume of the area around the device, such as the stomach, may also be reduced while drawing the tissue into the recess.
  • FIG. 1 shows a device for forming a tissue fold.
  • FIG. 2 shows a cross-sectional view of the device.
  • FIG. 3 shows a distal end of the device.
  • FIG. 4 shows a tissue engaging element extending from a mold.
  • FIG. 5 shows the tissue engaging element positioned to engage tissue.
  • FIG. 6 shows the tissue engaging element engaged with tissue and the tissue drawn toward the mold.
  • FIG. 7 shows the tissue fold just before entering the mold.
  • FIG. 8 shows the tissue drawn into the recess and a fastener applied to maintain the tissue fold.
  • the device 2 has a tissue mold 4 and a tissue engaging element 6 which draws tissue into the mold 4 .
  • the tissue engaging element 6 has a helical coil 8 with a sharp tip 10 which is rotated into engagement with tissue.
  • the device 2 may include any other suitable mechanism for engaging tissue such as a hook, barb, or suction element.
  • the tissue engaging element 6 is coupled to a cable 12 which may be rotated and translated in the manner described below to manipulate the element 6 .
  • the tissue engaging element 6 extends though a slot 13 in the body which stabilizes the element 6 and permit's the user to steer the element 6 with the mold 4 .
  • the coil 8 is initially directed somewhat laterally from the mold 4 as shown in FIG. 5 .
  • a manipulator 13 extends from the proximal end of the device 2 and is used to move and rotate the coil 8 .
  • a lock (not shown) is used to lock rotation of the manipulator 13 (and coil 8 ) as described below in connection with the method of using the device 2 .
  • the tissue mold 4 has an opening 14 which is relatively small so that the tissue fold is compressed and squeezed as the tissue enters the tissue mold 4 .
  • An advantage of the present invention is that squeezing the tissue in this manner may help to separate the tissue creating the fold from surrounding tissue. Such connections or adhesions to other tissue may not be desirable.
  • An advantage of the present invention is that squeezing and compressing the tissue fold during introduction into the mold may help to reduce such connections and adhesions.
  • the tissue mold 4 has a recess 16 which receives the tissue fold.
  • Two lateral openings 18 communicate with the recess 16 and with the opening 14 .
  • the lateral openings 18 are generally L-shaped but may take any other suitable shape.
  • the opening 14 leading to the recess 16 is at the distal end of the recess 16 so that the tissue is drawn proximally through the device 2 .
  • a width W of the lateral openings 14 may be relatively uniform over the length of the lateral openings 14 so that the lateral openings 14 can maintain a relatively uniform pressure on the tissue fold once the tissue enters the mold 4 and while it is drawn further into the recess 16 .
  • One or more lumens 20 extends through the device 2 and are used to deliver one or more fasteners 22 to maintain the tissue fold (see FIGS. 2 and 8 ).
  • the fastener 22 may be any suitable fastener and one such fastener 22 is described in U.S. Ser. No. 10/949,737, which is incorporated herein by reference.
  • a proximal end 19 of the fastener extends from the device for manipulation by the user.
  • a centering mechanism 23 is also provided for centering and manipulating the tissue engaging element 6 .
  • the centering mechanism 23 may be a wire loop 25 which is looped around the element 6 .
  • the wire loop 25 may be tensioned to move the tissue engaging element 6 from the position of FIG. 4 to the position of FIG. 5 in which the element 6 is oriented substantially perpendicular to the longitudinal axis of the device 2 .
  • the wire loop 25 extends through a lumen 27 as shown in the cross-sectional view of FIG. 2 .
  • the tissue engaging element 6 is free to slide within the wire loop 25 , however, the wire loop is not large enough to permit the coil to pass therethrough so that the wire loop 25 is eventually drawn back with the tissue engaging element 6 .
  • the device 2 is introduced down the patient's throat to the desired location for creating a tissue fold.
  • An endoscope (not shown) is used to guide the device 2 to the desired location and is introduced through a lumen 29 .
  • the device 2 may pass through the endoscope or the two may extend side by side as is known in the art without departing from the scope of the invention.
  • the centering mechanism 23 is then tensioned to move the element 6 to the position of FIG. 5 so that the coil 8 is perpendicular to the longitudinal axis of the mold.
  • the helical coil 8 is then rotated into engagement with tissue. Once engaged with tissue, the coil 8 and tissue are permitted to return to their respective free states rotationally.
  • the helical coil 8 is then locked against rotation in preparation for manipulating the tissue as described below.
  • the mold 4 is then oriented so that it will create a fold, which is aligned in the desired direction.
  • the area around the device 2 may then be reduced in volume using vacuum.
  • the lumen 20 , lumen 29 or another independent lumen or device may be used to evacuate air from the area around the device 2 .
  • the helical coil 8 is then slowly drawn back into the mold 4 while the area around the device 2 is reduced in volume.
  • the tissue fold is compressed as it enters the opening 14 so that the entire fold is compressed and drawn through the relatively small opening 14 . In this manner, tissue connections and adhesions on the far side of the tissue layers, which form the tissue fold may be released prior to forming the fold.
  • the coil 8 is then moved proximally to draw the tissue through the opening 14 and into the recess 16 . As the coil 8 continues to draw the tissue into the recess 16 , the lateral edges of the tissue extend through the lateral openings 18 . One or more of the fasteners 22 are then deployed through the lumen 20 to secure the tissue fold.
  • the present invention has been described with respect to a preferred embodiment, however, it is understood that numerous modifications and alterations could be made without departing from the scope of the invention.
  • the lateral openings could be linear rather than curved and the fastener may be an adhesive rather than a mechanical fastener.

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Rheumatology (AREA)
  • Surgical Instruments (AREA)

Abstract

A device for forming a tissue fold includes a recess and an opening at the end of the recess. Tissue is drawn into the recess and through the opening using a tissue engaging element. As the tissue is drawn through the opening, the tissue layers are compressed together. A fastener is used to secure the tissue fold.

Description

    BACKGROUND
  • The present invention is directed to methods and devices for approximating tissue and forming a tissue fold.
    • SUMMARY
  • The present invention provides a device for forming a tissue fold, which has a mold and a tissue engaging element. The mold has a recess and an opening leading to the recess. Tissue is drawn through the opening and into the mold using the tissue engaging element.
  • As tissue is drawn into the opening, the tissue forms a fold, which is compressed by the opening. In this manner, the entire fold is drawn through the opening and squeezed and compressed by the opening. The tissue layers are then fastened together to maintain tissue fold.
  • The opening is positioned at a distal end of the recess so that tissue is drawn proximally through the opening and into the tissue mold. The mold may also have two lateral openings, which communicate with the recess and with the opening at the distal end of the recess. The lateral edges of the tissue fold extend through the lateral openings as the tissue is drawn into the recess.
  • The tissue engaging element takes a curved path through the tissue mold and changes an angular orientation with respect to the mold by at least 45 degrees when passing through the mold.
  • The volume of the area around the device, such as the stomach, may also be reduced while drawing the tissue into the recess.
  • These and other aspects of the present invention will become apparent from the following description of the preferred embodiment.
    • DESCRIPTION OF DRAWINGS
  • FIG. 1 shows a device for forming a tissue fold.
  • FIG. 2 shows a cross-sectional view of the device.
  • FIG. 3 shows a distal end of the device.
  • FIG. 4 shows a tissue engaging element extending from a mold.
  • FIG. 5 shows the tissue engaging element positioned to engage tissue.
  • FIG. 6 shows the tissue engaging element engaged with tissue and the tissue drawn toward the mold.
  • FIG. 7 shows the tissue fold just before entering the mold.
  • FIG. 8 shows the tissue drawn into the recess and a fastener applied to maintain the tissue fold.
    •  DESCRIPTION OF THE PREFERRED EMBODIMENTS
  • Referring to FIGS. 1-3, a device 2 for forming a tissue fold is shown. The device 2 has a tissue mold 4 and a tissue engaging element 6 which draws tissue into the mold 4.
  • The tissue engaging element 6 has a helical coil 8 with a sharp tip 10 which is rotated into engagement with tissue. The device 2 may include any other suitable mechanism for engaging tissue such as a hook, barb, or suction element. The tissue engaging element 6 is coupled to a cable 12 which may be rotated and translated in the manner described below to manipulate the element 6. The tissue engaging element 6 extends though a slot 13 in the body which stabilizes the element 6 and permit's the user to steer the element 6 with the mold 4. The coil 8 is initially directed somewhat laterally from the mold 4 as shown in FIG. 5. As the coil 8 moves into the mold 4, the coil 8 takes a curved path through the mold 4 so that a longitudinal axis 9 of the coil 8 changes angular orientation with respect to a longitudinal axis 11 of the mold by at least 45 degrees. A manipulator 13 extends from the proximal end of the device 2 and is used to move and rotate the coil 8. A lock (not shown) is used to lock rotation of the manipulator 13 (and coil 8) as described below in connection with the method of using the device 2.
  • The tissue mold 4 has an opening 14 which is relatively small so that the tissue fold is compressed and squeezed as the tissue enters the tissue mold 4. An advantage of the present invention is that squeezing the tissue in this manner may help to separate the tissue creating the fold from surrounding tissue. Such connections or adhesions to other tissue may not be desirable. An advantage of the present invention is that squeezing and compressing the tissue fold during introduction into the mold may help to reduce such connections and adhesions.
  • The tissue mold 4 has a recess 16 which receives the tissue fold. Two lateral openings 18 communicate with the recess 16 and with the opening 14. As the tissue is drawn into the mold 4, the lateral edges of the tissue fold extend through the openings 18 as shown in FIG. 8. The lateral openings 18 are generally L-shaped but may take any other suitable shape. The opening 14 leading to the recess 16 is at the distal end of the recess 16 so that the tissue is drawn proximally through the device 2. A width W of the lateral openings 14 may be relatively uniform over the length of the lateral openings 14 so that the lateral openings 14 can maintain a relatively uniform pressure on the tissue fold once the tissue enters the mold 4 and while it is drawn further into the recess 16.
  • One or more lumens 20 extends through the device 2 and are used to deliver one or more fasteners 22 to maintain the tissue fold (see FIGS. 2 and 8). The fastener 22 may be any suitable fastener and one such fastener 22 is described in U.S. Ser. No. 10/949,737, which is incorporated herein by reference. A proximal end 19 of the fastener extends from the device for manipulation by the user.
  • A centering mechanism 23 is also provided for centering and manipulating the tissue engaging element 6. The centering mechanism 23 may be a wire loop 25 which is looped around the element 6. The wire loop 25 may be tensioned to move the tissue engaging element 6 from the position of FIG. 4 to the position of FIG. 5 in which the element 6 is oriented substantially perpendicular to the longitudinal axis of the device 2. The wire loop 25 extends through a lumen 27 as shown in the cross-sectional view of FIG. 2. The tissue engaging element 6 is free to slide within the wire loop 25, however, the wire loop is not large enough to permit the coil to pass therethrough so that the wire loop 25 is eventually drawn back with the tissue engaging element 6.
  • Use of the device 2 is now described with reference to FIGS. 3-8. The following method relates to use in the stomach but the device 2 may find uses in other areas as well without departing from the scope of the invention. The device 2 is introduced down the patient's throat to the desired location for creating a tissue fold. An endoscope (not shown) is used to guide the device 2 to the desired location and is introduced through a lumen 29. The device 2 may pass through the endoscope or the two may extend side by side as is known in the art without departing from the scope of the invention. The centering mechanism 23 is then tensioned to move the element 6 to the position of FIG. 5 so that the coil 8 is perpendicular to the longitudinal axis of the mold. The helical coil 8 is then rotated into engagement with tissue. Once engaged with tissue, the coil 8 and tissue are permitted to return to their respective free states rotationally. The helical coil 8 is then locked against rotation in preparation for manipulating the tissue as described below.
  • The mold 4 is then oriented so that it will create a fold, which is aligned in the desired direction. The area around the device 2 may then be reduced in volume using vacuum. The lumen 20, lumen 29 or another independent lumen or device may be used to evacuate air from the area around the device 2. The helical coil 8 is then slowly drawn back into the mold 4 while the area around the device 2 is reduced in volume. As the tissue enters the mold 4, the tissue fold is compressed as it enters the opening 14 so that the entire fold is compressed and drawn through the relatively small opening 14. In this manner, tissue connections and adhesions on the far side of the tissue layers, which form the tissue fold may be released prior to forming the fold.
  • The coil 8 is then moved proximally to draw the tissue through the opening 14 and into the recess 16. As the coil 8 continues to draw the tissue into the recess 16, the lateral edges of the tissue extend through the lateral openings 18. One or more of the fasteners 22 are then deployed through the lumen 20 to secure the tissue fold.
  • The present invention has been described with respect to a preferred embodiment, however, it is understood that numerous modifications and alterations could be made without departing from the scope of the invention. For example, the lateral openings could be linear rather than curved and the fastener may be an adhesive rather than a mechanical fastener.

Claims (18)

What is claimed is:
1. A method of forming a fold of tissue in the stomach, comprising the steps of:
providing a device having a tissue engaging element and a mold, the mold having a recess and an opening leading to the recess;
introducing the device down a patient's throat to the stomach;
engaging stomach tissue with the tissue engaging element;
drawing the stomach tissue into the mold through the opening using the tissue engaging element, the stomach tissue forming a tissue fold as the stomach tissue enters the opening, the tissue fold being compressed as the tissue fold enters the tissue mold;
fastening the tissue layers together to maintain the tissue fold.
2. The method of claim A, wherein:
the drawing step is carried out with the tissue fold being drawn proximally through the opening and into the tissue mold, the tissue fold being compressed together at as the stomach tissue is drawn through the opening.
3. The method of claim A2, wherein:
the providing step is carried out with the tissue mold also having two lateral openings, which communicate with the recess and with the opening.
4. The method of claim 3, wherein:
the providing step is carried out with the lateral openings having a substantially uniform width.
5. The method of claim 3, wherein:
the drawing step being carried out with lateral edges of the tissue fold extending out of the two lateral openings.
6. The method of claim 3, wherein:
the providing step is carried out with the lateral openings being L-shaped.
7. The method of claim 1, wherein:
the drawing step is carried out with the tissue engaging element taking a curved path within the tissue mold.
8. The method of claim 1, wherein:
the drawing step is carried out with a longitudinal axis of the tissue engaging element changing in angular orientation with respect to a longitudinal axis of the tissue mold by at least 45 degrees.
9. The method of claim 1, further comprising the step of:
reducing a volume of the stomach around the device.
10. The method of claim 9, wherein:
the reducing step is carried out during the drawing step.
11. A device for forming a tissue fold, comprising:
a mold having a recess and an opening leading to the recess;
a tissue engaging element configured to engage tissue, the tissue engaging element being movable to draw tissue through the opening and into the recess; and
wherein the opening is sized so that tissue drawn through the opening by the tissue engaging element is compressed as the tissue fold enters the tissue mold.
12. The device of claim 11, further comprising:
a fastener positioned to fasten together a tissue fold contained within the recess.
13. The device of claim 11, wherein:
the opening is at a distal end of the recess; and
the tissue engaging element is configured to draw the tissue proximally into the tissue mold.
14. The device of claim 11, wherein:
the mold has two lateral openings, which communicate with the recess and with the opening.
15. The device of claim 14, wherein:
the providing step is carried out with the lateral openings having a substantially uniform width.
16. The device of claim 14, wherein:
the lateral openings are L-shaped.
17. The device of claim 11, wherein:
the tissue engaging element takes a curved path within the tissue mold.
18. The device of claim 11, wherein:
the tissue engaging element changes in angular orientation with respect to a longitudinal axis of the tissue mold by at least 45 degrees when the tissue engaging element is moved through the mold.
US14/558,496 2009-03-18 2014-12-02 Methods and devices for forming a tissue fold Active 2030-02-28 US10433838B2 (en)

Priority Applications (2)

Application Number Priority Date Filing Date Title
US14/558,496 US10433838B2 (en) 2009-03-18 2014-12-02 Methods and devices for forming a tissue fold
US16/591,468 US11484308B2 (en) 2009-03-18 2019-10-02 Methods and devices for forming a tissue fold

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US12/383,109 US8906037B2 (en) 2009-03-18 2009-03-18 Methods and devices for forming a tissue fold
US14/558,496 US10433838B2 (en) 2009-03-18 2014-12-02 Methods and devices for forming a tissue fold

Related Parent Applications (1)

Application Number Title Priority Date Filing Date
US12/383,109 Division US8906037B2 (en) 2009-03-18 2009-03-18 Methods and devices for forming a tissue fold

Related Child Applications (1)

Application Number Title Priority Date Filing Date
US16/591,468 Division US11484308B2 (en) 2009-03-18 2019-10-02 Methods and devices for forming a tissue fold

Publications (2)

Publication Number Publication Date
US20150112365A1 true US20150112365A1 (en) 2015-04-23
US10433838B2 US10433838B2 (en) 2019-10-08

Family

ID=42738293

Family Applications (3)

Application Number Title Priority Date Filing Date
US12/383,109 Active 2031-10-24 US8906037B2 (en) 2009-03-18 2009-03-18 Methods and devices for forming a tissue fold
US14/558,496 Active 2030-02-28 US10433838B2 (en) 2009-03-18 2014-12-02 Methods and devices for forming a tissue fold
US16/591,468 Active 2031-02-05 US11484308B2 (en) 2009-03-18 2019-10-02 Methods and devices for forming a tissue fold

Family Applications Before (1)

Application Number Title Priority Date Filing Date
US12/383,109 Active 2031-10-24 US8906037B2 (en) 2009-03-18 2009-03-18 Methods and devices for forming a tissue fold

Family Applications After (1)

Application Number Title Priority Date Filing Date
US16/591,468 Active 2031-02-05 US11484308B2 (en) 2009-03-18 2019-10-02 Methods and devices for forming a tissue fold

Country Status (1)

Country Link
US (3) US8906037B2 (en)

Families Citing this family (16)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20050187565A1 (en) 2004-02-20 2005-08-25 Baker Steve G. Tissue fixation devices and a transoral endoscopic gastroesophageal flap valve restoration device and assembly using same
US7632287B2 (en) 2004-02-20 2009-12-15 Endogastric Solutions, Inc. Tissue fixation devices and assemblies for deploying the same
US20060116697A1 (en) 2004-11-30 2006-06-01 Esophyx, Inc. Flexible transoral endoscopic gastroesophageal flap valve restoration device and method
US20060167481A1 (en) 2005-01-25 2006-07-27 Esophyx, Inc. Slitted tissue fixation devices and assemblies for deploying the same
US20070005082A1 (en) 2005-06-29 2007-01-04 Esophyx, Inc. Apparatus and method for manipulating stomach tissue and treating gastroesophageal reflux disease
US20070038232A1 (en) 2005-08-12 2007-02-15 Kraemer Stefan J M Apparatus and method for securing the stomach to the diaphragm for use, for example, in treating hiatal hernias and gastroesophageal reflux disease
US20070088373A1 (en) 2005-10-18 2007-04-19 Endogastric Solutions, Inc. Invaginator for gastroesophageal flap valve restoration device
US9161754B2 (en) 2012-12-14 2015-10-20 Endogastric Solutions, Inc. Apparatus and method for concurrently forming a gastroesophageal valve and tightening the lower esophageal sphincter
US7992757B2 (en) 2006-05-03 2011-08-09 Raptor Ridge Llc Systems and methods of tissue closure
EP2104458A4 (en) 2007-01-08 2014-12-31 Endogastric Solutions Connected fasteners, delivery device and method
US8906037B2 (en) 2009-03-18 2014-12-09 Endogastric Solutions, Inc. Methods and devices for forming a tissue fold
US8915929B2 (en) 2011-09-09 2014-12-23 Endogastric Solutions, Inc. Methods and devices for manipulating and fastening tissue
US9955957B2 (en) 2011-09-09 2018-05-01 Endogastric Solutions, Inc. Methods and devices for manipulating and fastening tissue
US9572571B2 (en) 2011-09-09 2017-02-21 Endogastric Solutions, Inc. Methods and devices for manipulating and fastening tissue
WO2015077356A1 (en) 2013-11-19 2015-05-28 Wheeler William K Fastener applicator with interlock
AU2019243731B2 (en) 2018-03-28 2024-12-12 Datascope Corp. Device for atrial appendage exclusion

Citations (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6086600A (en) * 1997-11-03 2000-07-11 Symbiosis Corporation Flexible endoscopic surgical instrument for invagination and fundoplication
US20030055442A1 (en) * 1999-06-22 2003-03-20 Laufer Michael D. Method and devices for tissue reconfiguration
US20030065340A1 (en) * 2000-05-10 2003-04-03 Scimed Life Systems, Inc. Devices and related methods for securing a tissue fold
US20030120289A1 (en) * 2001-12-20 2003-06-26 Mcguckin James F Apparatus and method for treating gastroesophageal reflux disease
US6790214B2 (en) * 2002-05-17 2004-09-14 Esophyx, Inc. Transoral endoscopic gastroesophageal flap valve restoration device, assembly, system and method
US20050025116A1 (en) * 2000-04-11 2005-02-03 Chen Ning Nicholas System and method for packet data servicing node (PDSN) initial assignment and reselection
US20050085829A1 (en) * 2002-05-17 2005-04-21 Esophyx, Inc. Transoral endoscopic gastroesophageal flap valve restoration device, assembly, system and method
US20060135971A1 (en) * 2004-05-07 2006-06-22 Usgi Medical Inc. System for treating gastroesophageal reflux disease
US20070021756A1 (en) * 2002-05-01 2007-01-25 Scimed Life Systems, Inc. Tissue fastening devices and related insertion tools and methods
US20080294179A1 (en) * 2007-05-12 2008-11-27 Balbierz Daniel J Devices and methods for stomach partitioning
US7918787B2 (en) * 2005-02-02 2011-04-05 Voyage Medical, Inc. Tissue visualization and manipulation systems

Family Cites Families (129)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2753870A (en) 1955-03-15 1956-07-10 James A Muffly Instrument for probing the reticulum
US3875928A (en) 1973-08-16 1975-04-08 Angelchik Jean P Method for maintaining the reduction of a sliding esophageal hiatal hernia
US4006747A (en) 1975-04-23 1977-02-08 Ethicon, Inc. Surgical method
US4271828A (en) 1979-09-13 1981-06-09 Angelchik Jean P Method for maintaining the reduction of a sliding esophageal hiatal hernia
US4595007A (en) 1983-03-14 1986-06-17 Ethicon, Inc. Split ring type tissue fastener
US4576772A (en) 1984-07-20 1986-03-18 Warner-Lambert Technologies, Inc. Catheter with optimum resistance to bending and method of manufacture
US4696300A (en) 1985-04-11 1987-09-29 Dennison Manufacturing Company Fastener for joining materials
US4669473A (en) 1985-09-06 1987-06-02 Acufex Microsurgical, Inc. Surgical fastener
US4895148A (en) 1986-05-20 1990-01-23 Concept, Inc. Method of joining torn parts of bodily tissue in vivo with a biodegradable tack member
DE3619197A1 (en) 1986-06-07 1987-12-10 Ethicon Gmbh UPHOLSTERY IMPLANT
US4921479A (en) 1987-10-02 1990-05-01 Joseph Grayzel Catheter sheath with longitudinal seam
US4846836A (en) 1988-10-03 1989-07-11 Reich Jonathan D Artificial lower gastrointestinal valve
US5314473A (en) 1989-07-20 1994-05-24 Godin Norman J Prosthesis for preventing gastric reflux into the esophagus
US5080543A (en) 1990-01-08 1992-01-14 Engineered Construction Components (America) Inc. Fastening sleeves and fastening systems employing same
US5041129A (en) 1990-07-02 1991-08-20 Acufex Microsurgical, Inc. Slotted suture anchor and method of anchoring a suture
US5006106A (en) 1990-10-09 1991-04-09 Angelchik Jean P Apparatus and method for laparoscopic implantation of anti-reflux prosthesis
US5088979A (en) 1990-10-11 1992-02-18 Wilson-Cook Medical Inc. Method for esophageal invagination and devices useful therein
CA2063159C (en) 1991-03-22 1999-06-15 Thomas W. Sander Orthopedic fastener
US5289963A (en) 1991-10-18 1994-03-01 United States Surgical Corporation Apparatus and method for applying surgical staples to attach an object to body tissue
US5197649A (en) 1991-10-29 1993-03-30 The Trustees Of Columbia University In The City Of New York Gastrointestinal endoscoptic stapler
US5411520A (en) 1991-11-08 1995-05-02 Kensey Nash Corporation Hemostatic vessel puncture closure system utilizing a plug located within the puncture tract spaced from the vessel, and method of use
US5254126A (en) 1992-06-24 1993-10-19 Ethicon, Inc. Endoscopic suture punch
AU4686993A (en) 1992-07-30 1994-03-03 Temple University - Of The Commonwealth System Of Higher Education Direct manual cardiac compression device and method of use thereof
US5403326A (en) 1993-02-01 1995-04-04 The Regents Of The University Of California Method for performing a gastric wrap of the esophagus for use in the treatment of esophageal reflux
US5549621A (en) 1993-05-14 1996-08-27 Byron C. Sutherland Apparatus and method for performing vertical banded gastroplasty
CA2172129A1 (en) 1993-09-20 1995-04-06 Bruce H. Diamond Multiple biopsy sampling device
US5540718A (en) 1993-09-20 1996-07-30 Bartlett; Edwin C. Apparatus and method for anchoring sutures
US5582616A (en) 1994-08-05 1996-12-10 Origin Medsystems, Inc. Surgical helical fastener with applicator
US5571116A (en) 1994-10-02 1996-11-05 United States Surgical Corporation Non-invasive treatment of gastroesophageal reflux disease
US5938668A (en) 1994-10-07 1999-08-17 United States Surgical Surgical suturing apparatus
CH688174A5 (en) 1995-03-28 1997-06-13 Norman Godin Prosthesis to oppose the gastric reflux into the esophagus.
US5759151A (en) 1995-06-07 1998-06-02 Carnegie Mellon University Flexible steerable device for conducting exploratory procedures
US5626614A (en) 1995-12-22 1997-05-06 Applied Medical Resources Corporation T-anchor suturing device and method for using same
US6119913A (en) 1996-06-14 2000-09-19 Boston Scientific Corporation Endoscopic stapler
US5814054A (en) 1996-09-23 1998-09-29 Symbiosis Corporation Automatic needle-passer suturing instrument
US5887594A (en) 1997-09-22 1999-03-30 Beth Israel Deaconess Medical Center Inc. Methods and devices for gastroesophageal reflux reduction
US6254642B1 (en) 1997-12-09 2001-07-03 Thomas V. Taylor Perorally insertable gastroesophageal anti-reflux valve prosthesis and tool for implantation thereof
US6295990B1 (en) 1998-02-03 2001-10-02 Salient Interventional Systems, Inc. Methods and systems for treating ischemia
US6740098B2 (en) 1998-05-11 2004-05-25 Surgical Connections, Inc. Surgical stabilizer devices and methods
US6113609A (en) 1998-05-26 2000-09-05 Scimed Life Systems, Inc. Implantable tissue fastener and system for treating gastroesophageal reflux disease
US6113611A (en) 1998-05-28 2000-09-05 Advanced Vascular Technologies, Llc Surgical fastener and delivery system
US6264700B1 (en) 1998-08-27 2001-07-24 Endonetics, Inc. Prosthetic gastroesophageal valve
DE69913163T2 (en) 1998-08-31 2004-09-09 Wilson-Cook Medical Inc. ANTI REFLUX ESOPHAGEAL PROSTHESIS
US6113612A (en) 1998-11-06 2000-09-05 St. Jude Medical Cardiovascular Group, Inc. Medical anastomosis apparatus
DE69931018T2 (en) 1998-12-30 2006-11-23 Ethicon, Inc. Thread belay device
US6315789B1 (en) 1999-02-08 2001-11-13 Andrew H. Cragg Medical device anchoring system and method
US6159146A (en) 1999-03-12 2000-12-12 El Gazayerli; Mohamed Mounir Method and apparatus for minimally-invasive fundoplication
US6098629A (en) 1999-04-07 2000-08-08 Endonetics, Inc. Submucosal esophageal bulking device
US6375668B1 (en) 1999-06-02 2002-04-23 Hanson S. Gifford Devices and methods for treating vascular malformations
US6494888B1 (en) 1999-06-22 2002-12-17 Ndo Surgical, Inc. Tissue reconfiguration
US6663639B1 (en) 1999-06-22 2003-12-16 Ndo Surgical, Inc. Methods and devices for tissue reconfiguration
US6821285B2 (en) 1999-06-22 2004-11-23 Ndo Surgical, Inc. Tissue reconfiguration
US7416554B2 (en) 2002-12-11 2008-08-26 Usgi Medical Inc Apparatus and methods for forming and securing gastrointestinal tissue folds
US8574243B2 (en) 1999-06-25 2013-11-05 Usgi Medical, Inc. Apparatus and methods for forming and securing gastrointestinal tissue folds
US7618426B2 (en) 2002-12-11 2009-11-17 Usgi Medical, Inc. Apparatus and methods for forming gastrointestinal tissue approximations
US7637905B2 (en) 2003-01-15 2009-12-29 Usgi Medical, Inc. Endoluminal tool deployment system
US7160312B2 (en) 1999-06-25 2007-01-09 Usgi Medical, Inc. Implantable artificial partition and methods of use
US6231561B1 (en) 1999-09-20 2001-05-15 Appriva Medical, Inc. Method and apparatus for closing a body lumen
EP1095622A1 (en) 1999-10-29 2001-05-02 Biomedix S.A. Endoscopic suturing instrument
US6387104B1 (en) 1999-11-12 2002-05-14 Scimed Life Systems, Inc. Method and apparatus for endoscopic repair of the lower esophageal sphincter
US6428548B1 (en) 1999-11-18 2002-08-06 Russell F. Durgin Apparatus and method for compressing body tissue
CA2397333A1 (en) 2000-01-21 2001-07-26 Miravant Medical Technologies Local drug delivery using photosensitizer-mediated and electromagnetic radiation-enhanced vascular permeability
KR100862346B1 (en) 2000-02-29 2008-10-13 제너럴 일렉트릭 캄파니 Nickel-Based Superalloys and Turbine Components Made Therefrom
IL138632A (en) 2000-09-21 2008-06-05 Minelu Zonnenschein Multiple view endoscopes
NZ521288A (en) 2000-03-16 2004-12-24 Medigus Ltd Fundoplication apparatus and method
US6443944B1 (en) 2000-05-19 2002-09-03 Rajiv Doshi Surgical devices comprising articulated members and methods for using the same
ES2435094T3 (en) 2000-05-19 2013-12-18 C.R. Bard, Inc. Device and method of tissue capture and suturing
US6743239B1 (en) 2000-05-25 2004-06-01 St. Jude Medical, Inc. Devices with a bendable tip for medical procedures
US6676698B2 (en) 2000-06-26 2004-01-13 Rex Medicol, L.P. Vascular device with valve for approximating vessel wall
US6921361B2 (en) 2000-07-24 2005-07-26 Olympus Corporation Endoscopic instrument for forming an artificial valve
US20040093024A1 (en) 2000-09-01 2004-05-13 James Lousararian Advanced wound site management systems and methods
US20020082621A1 (en) 2000-09-22 2002-06-27 Schurr Marc O. Methods and devices for folding and securing tissue
US6736828B1 (en) 2000-09-29 2004-05-18 Scimed Life Systems, Inc. Method for performing endoluminal fundoplication and apparatus for use in the method
US6447524B1 (en) 2000-10-19 2002-09-10 Ethicon Endo-Surgery, Inc. Fastener for hernia mesh fixation
FR2817142B1 (en) 2000-11-24 2003-05-16 Sofradim Production PROSTHETIC FASTENER AND TRANSCUTANEOUS INSERTION DEVICE
US7727246B2 (en) 2000-12-06 2010-06-01 Ethicon Endo-Surgery, Inc. Methods for endoluminal treatment
US6716226B2 (en) 2001-06-25 2004-04-06 Inscope Development, Llc Surgical clip
US20020139606A1 (en) 2001-04-03 2002-10-03 Williams Donald J. Electric power steering system including a segmented stator switched reluctance motor
US6916332B2 (en) 2001-05-23 2005-07-12 Scimed Life Systems, Inc. Endoluminal fundoplication device and related method for installing tissue fastener
US7083629B2 (en) 2001-05-30 2006-08-01 Satiety, Inc. Overtube apparatus for insertion into a body
US7115136B2 (en) 2001-06-20 2006-10-03 Park Medical Llc Anastomotic device
FR2826253B1 (en) 2001-06-21 2004-03-12 Sofradim Production ASSEMBLY COMPRISING A FASTENING ATTACHMENT FOR MEDICAL USE AND A DEVICE FOR THE POSITIONING OF THIS ATTACHMENT
JP4768154B2 (en) 2001-06-29 2011-09-07 テルモ株式会社 Medical energy irradiation device
EP1441648B9 (en) 2001-10-20 2012-04-25 Applied Medical Resources Corporation Wound retraction apparatus
US7318833B2 (en) 2001-12-19 2008-01-15 Nmt Medical, Inc. PFO closure device with flexible thrombogenic joint and improved dislodgement resistance
FR2836816B1 (en) 2002-03-08 2005-01-28 Sofradim Production APPARATUS FOR STORING, DISPENSING AND LAYING SURGICAL I-LAYER FASTENERS
US7527590B2 (en) 2002-03-19 2009-05-05 Olympus Corporation Anastomosis system
US6699263B2 (en) 2002-04-05 2004-03-02 Cook Incorporated Sliding suture anchor
US6773440B2 (en) 2002-07-02 2004-08-10 Satiety, Inc. Method and device for use in tissue approximation and fixation
US7083630B2 (en) 2002-08-29 2006-08-01 Scimed Life Systems, Inc. Devices and methods for fastening tissue layers
US20040044364A1 (en) 2002-08-29 2004-03-04 Devries Robert Tissue fasteners and related deployment systems and methods
US20040138704A1 (en) 2002-09-06 2004-07-15 Gambale Richard A. Tissue capturing devices
CA2500796C (en) 2002-10-04 2011-03-15 Tyco Healthcare Group, Lp Tool assembly for surgical stapling device
US7037344B2 (en) 2002-11-01 2006-05-02 Valentx, Inc. Apparatus and methods for treatment of morbid obesity
US20090149871A9 (en) 2002-11-01 2009-06-11 Jonathan Kagan Devices and methods for treating morbid obesity
CA2512203C (en) 2002-12-02 2012-10-23 Gi Dynamics, Inc. Bariatric sleeve
US7780700B2 (en) 2003-02-04 2010-08-24 ev3 Endovascular, Inc Patent foramen ovale closure system
ES2436596T3 (en) 2003-07-14 2014-01-03 W.L. Gore & Associates, Inc. Oval foramen tubular permeable closure device (FOP) with retention system
JP3833199B2 (en) 2003-07-24 2006-10-11 沖電気工業株式会社 Complementary signal generation circuit
US8308765B2 (en) 2004-05-07 2012-11-13 Usgi Medical, Inc. Apparatus and methods for positioning and securing anchors
US20050247320A1 (en) 2003-10-10 2005-11-10 Stack Richard S Devices and methods for retaining a gastro-esophageal implant
US7347863B2 (en) * 2004-05-07 2008-03-25 Usgi Medical, Inc. Apparatus and methods for manipulating and securing tissue
US20050177176A1 (en) 2004-02-05 2005-08-11 Craig Gerbi Single-fold system for tissue approximation and fixation
US20050187565A1 (en) 2004-02-20 2005-08-25 Baker Steve G. Tissue fixation devices and a transoral endoscopic gastroesophageal flap valve restoration device and assembly using same
US20060009792A1 (en) 2004-02-20 2006-01-12 Esophyx, Inc. Tissue fixation assembly having prepositioned fasteners and method
US7632287B2 (en) 2004-02-20 2009-12-15 Endogastric Solutions, Inc. Tissue fixation devices and assemblies for deploying the same
US8628547B2 (en) 2004-03-09 2014-01-14 Ethicon Endo-Surgery, Inc. Devices and methods for placement of partitions within a hollow body organ
US8252009B2 (en) 2004-03-09 2012-08-28 Ethicon Endo-Surgery, Inc. Devices and methods for placement of partitions within a hollow body organ
US7255675B2 (en) 2004-03-23 2007-08-14 Michael Gertner Devices and methods to treat a patient
US20050228413A1 (en) 2004-04-12 2005-10-13 Binmoeller Kenneth F Automated transluminal tissue targeting and anchoring devices and methods
US20050251176A1 (en) 2004-05-07 2005-11-10 Usgi Medical Inc. System for treating gastroesophageal reflux disease
US7850704B2 (en) 2004-09-27 2010-12-14 Theranova, Llc Method and apparatus for anchoring implants
US20060167481A1 (en) 2005-01-25 2006-07-27 Esophyx, Inc. Slitted tissue fixation devices and assemblies for deploying the same
US7860555B2 (en) * 2005-02-02 2010-12-28 Voyage Medical, Inc. Tissue visualization and manipulation system
US20060190018A1 (en) 2005-02-18 2006-08-24 Esophyx, Inc. Transoral endoscopic gastroesophageal flap valve restoration device having a guided tissue gripper
US20060253130A1 (en) 2005-05-03 2006-11-09 Esophyx, Inc. Tissue fixation assemblies having a plurality of fasteners ready for serial deployment
US7674271B2 (en) 2005-05-04 2010-03-09 InTailor Surgical, Inc. Endoluminal gastric ring and method
US20070021760A1 (en) 2005-07-19 2007-01-25 Brian Kelleher Methods and apparatus for securing an anchor to soft tissue
US20070112363A1 (en) 2005-11-15 2007-05-17 Endogastric Solutions, Inc. Apparatus including multiple invaginators for restoring a gastroesophageal flap valve and method
US20070129738A1 (en) 2005-12-01 2007-06-07 Endogastric Solutions, Inc. Apparatus and method for concurrently forming a gastroesophageal valve and tightening the lower esophageal sphincter
US20070191870A1 (en) * 2006-02-10 2007-08-16 Endogastric Solutions, Inc. Transesophageal gastric reduction method and device for practicing same
US20070191871A1 (en) * 2006-02-10 2007-08-16 Endogastric Solutions, Inc. Transesophageal gastric reduction method and device for reducing the size of a previously formed gastric reduction pouch
US20070276409A1 (en) 2006-05-25 2007-11-29 Ethicon Endo-Surgery, Inc. Endoscopic gastric restriction methods and devices
IL176889A0 (en) * 2006-07-16 2006-10-31 Medigus Ltd Devices and methods for treating morbid obesity
US7954687B2 (en) 2007-11-06 2011-06-07 Tyco Healthcare Group Lp Coated surgical staples and an illuminated staple cartridge for a surgical stapling instrument
PL2240131T3 (en) 2008-01-29 2018-11-30 Kirk Promotion Ltd. A device for the treatment of obesity
US8020741B2 (en) 2008-03-18 2011-09-20 Barosense, Inc. Endoscopic stapling devices and methods
WO2010087756A1 (en) 2009-01-29 2010-08-05 Milux Holding S.A. Stomach instrument and method
US8906037B2 (en) 2009-03-18 2014-12-09 Endogastric Solutions, Inc. Methods and devices for forming a tissue fold

Patent Citations (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6086600A (en) * 1997-11-03 2000-07-11 Symbiosis Corporation Flexible endoscopic surgical instrument for invagination and fundoplication
US20030055442A1 (en) * 1999-06-22 2003-03-20 Laufer Michael D. Method and devices for tissue reconfiguration
US20050025116A1 (en) * 2000-04-11 2005-02-03 Chen Ning Nicholas System and method for packet data servicing node (PDSN) initial assignment and reselection
US20030065340A1 (en) * 2000-05-10 2003-04-03 Scimed Life Systems, Inc. Devices and related methods for securing a tissue fold
US20030120289A1 (en) * 2001-12-20 2003-06-26 Mcguckin James F Apparatus and method for treating gastroesophageal reflux disease
US20070021756A1 (en) * 2002-05-01 2007-01-25 Scimed Life Systems, Inc. Tissue fastening devices and related insertion tools and methods
US6790214B2 (en) * 2002-05-17 2004-09-14 Esophyx, Inc. Transoral endoscopic gastroesophageal flap valve restoration device, assembly, system and method
US20050085829A1 (en) * 2002-05-17 2005-04-21 Esophyx, Inc. Transoral endoscopic gastroesophageal flap valve restoration device, assembly, system and method
US20060135971A1 (en) * 2004-05-07 2006-06-22 Usgi Medical Inc. System for treating gastroesophageal reflux disease
US7918787B2 (en) * 2005-02-02 2011-04-05 Voyage Medical, Inc. Tissue visualization and manipulation systems
US20080294179A1 (en) * 2007-05-12 2008-11-27 Balbierz Daniel J Devices and methods for stomach partitioning

Also Published As

Publication number Publication date
US8906037B2 (en) 2014-12-09
US10433838B2 (en) 2019-10-08
US20200029965A1 (en) 2020-01-30
US11484308B2 (en) 2022-11-01
US20100241139A1 (en) 2010-09-23

Similar Documents

Publication Publication Date Title
US11484308B2 (en) Methods and devices for forming a tissue fold
US10716575B2 (en) Hemostatic clip with needle passer
US8882785B2 (en) Endoscopic suturing device
US5792153A (en) Sewing device
EP3222219B1 (en) Laparoscopic port site closing apparatus
JP7214634B2 (en) Endoscopic suturing system with external instrument channel
EP2352441B1 (en) System for mechanical closure of wounds
US6503264B1 (en) Endoscopic device for removing an intragastric balloon
EP3222220B1 (en) Suture thread for laparoscopic port site closing apparatus
US20150257757A1 (en) Methods and apparatus for clipping tissue
US20170086817A1 (en) Endoscopic Suture Cinch System
AU2017218392B2 (en) Drainage catheter system including a hub
JP2024083610A (en) Hemostasis clip
US8092474B2 (en) Methods and devices for placement of an intra-abdominal or intra-thoracic appliance through a natural body orifice
US10792030B2 (en) Suturing device
JP2006508781A (en) Tissue retractor device and method of using the same
US20160095591A1 (en) Magnetic and/or hook and loop t-tags
US10390922B2 (en) Devices and methods for delivery of attachment devices
CN109310857A (en) Intubaction device
JP4256874B2 (en) Tissue retractor device
CN109717916A (en) A kind of stitching unstrument for thoracoscope Minimally Invasive Surgery

Legal Events

Date Code Title Description
AS Assignment

Owner name: CRG SERVICING LLC, TEXAS

Free format text: SECURITY INTEREST;ASSIGNOR:ENDOGASTRIC SOLUTIONS, INC.;REEL/FRAME:037172/0673

Effective date: 20151125

STPP Information on status: patent application and granting procedure in general

Free format text: FINAL REJECTION MAILED

STPP Information on status: patent application and granting procedure in general

Free format text: DOCKETED NEW CASE - READY FOR EXAMINATION

STPP Information on status: patent application and granting procedure in general

Free format text: NOTICE OF ALLOWANCE MAILED -- APPLICATION RECEIVED IN OFFICE OF PUBLICATIONS

STPP Information on status: patent application and granting procedure in general

Free format text: PUBLICATIONS -- ISSUE FEE PAYMENT VERIFIED

STCF Information on status: patent grant

Free format text: PATENTED CASE

MAFP Maintenance fee payment

Free format text: PAYMENT OF MAINTENANCE FEE, 4TH YR, SMALL ENTITY (ORIGINAL EVENT CODE: M2551); ENTITY STATUS OF PATENT OWNER: SMALL ENTITY

Year of fee payment: 4

AS Assignment

Owner name: ENDOGASTRIC SOLUTIONS, INC., WASHINGTON

Free format text: ASSIGNMENT OF ASSIGNORS INTEREST;ASSIGNOR:HARSHMAN, SCOTT;REEL/FRAME:067817/0449

Effective date: 20090606

Owner name: ENDOGASTRIC SOLUTIONS, INC., WASHINGTON

Free format text: CHANGE OF NAME;ASSIGNOR:ENDO GASTRIC SOLUTIONS, INC.;REEL/FRAME:067824/0001

Effective date: 20050830

Owner name: ENDO GASTRIC SOLUTIONS, INC., WASHINGTON

Free format text: CHANGE OF NAME;ASSIGNOR:ESOPHYX, INC.;REEL/FRAME:067823/0898

Effective date: 20050711

AS Assignment

Owner name: ENDOGASTRIC SOLUTIONS, INC., WASHINGTON

Free format text: RELEASE BY SECURED PARTY;ASSIGNOR:CRG SERVICING LLC;REEL/FRAME:068118/0166

Effective date: 20240701

AS Assignment

Owner name: ENDOGASTRIC SOLUTIONS, INC., WASHINGTON

Free format text: RELEASE BY SECURED PARTY;ASSIGNOR:CRG SERVICING LLC;REEL/FRAME:068047/0253

Effective date: 20240701

AS Assignment

Owner name: MERIT MEDICAL SYSTEMS, INC., UTAH

Free format text: ASSIGNMENT OF ASSIGNORS INTEREST;ASSIGNOR:ENDOGASTRIC SOLUTIONS, INC.;REEL/FRAME:068325/0865

Effective date: 20240701

FEPP Fee payment procedure

Free format text: ENTITY STATUS SET TO UNDISCOUNTED (ORIGINAL EVENT CODE: BIG.); ENTITY STATUS OF PATENT OWNER: LARGE ENTITY

AS Assignment

Owner name: WELLS FARGO BANK, NATIONAL ASSOCIATION, AS ADMINISTRATIVE AGENT, NORTH CAROLINA

Free format text: SECURITY INTEREST;ASSIGNOR:MERIT MEDICAL SYSTEMS, INC.;REEL/FRAME:070060/0361

Effective date: 20250128